There are 42 stand-alone Medicare Part D plans in New Mexico meeting your criteria.
Caution: The 2009 Medicare Part D plan information below is for research purposes.
Click here to see 2024 Medicare Part D plans
ZOSYN 4/0.5GM PRE-MIX BAG (12 PKG) (NDC: 00206886202) 2009 Medicare Prescription Drug Plan (PDP) Information Click here for the Chart Legend | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Does Plan Offer Gap Coverage |
Drug Tier Information | Cost-Sharing | Drug Usage Mgmt |
|||
---|---|---|---|---|---|---|---|---|---|
Tier Nbr. |
Tier Desc. |
30-Day Prfrd. Pharm |
90-Day Order |
||||||
SilverScript Value |
$14.50 | $295 | No Gap Coverage | 2 | Preferred Brand | $30.75 | $69.25 | None | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$15.20 | $295 | No Gap Coverage | 3 | Tier 3 | $88.00 | $264.00 | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$18.00 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
SierraRx UnitedHealth Rx Value |
$18.10 | $0 | No Gap Coverage | 3 | Specialty | 33% | 33% | P Q:40 /60Days | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$18.70 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | None | |
Browse Plan Formulary | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
Blue Medicare Rx - Value |
$18.70 | $0 | No Gap Coverage | 4 | Specialty | 30% | n/a | None | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$19.00 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 55% | n/a | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$21.80 | $295 | No Gap Coverage | 4 | Injectable | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$22.50 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$24.80 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $49.00 | $132.00 | None | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 26 |
$26.20 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
WellCare Signature |
$26.80 | $0 | No Gap Coverage | 3 | Tier 3 | $79.00 | $237.00 | None | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$27.10 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$27.20 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | None | |
Browse Plan Formulary | |||||||||
BravoRx |
$27.90 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Standard |
$29.60 | $295 | No Gap Coverage | 4 | Specialty | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$29.70 | $295 | No Gap Coverage | 2 | Tier 2 | $28.00 | $70.00 | None | |
Browse Plan Formulary | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
Humana PDP Standard S5884-084 |
$30.40 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 50% | 50% | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$30.40 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$31.10 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$32.90 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$33.70 | $0 | No Gap Coverage | 3 | Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-024 |
$34.50 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $70.00 | $175.00 | None | |
Browse Plan Formulary | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
UA Medicare Part D Rx Covg - Silver Plan |
$35.30 | $150 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$36.90 | $0 | No Gap Coverage | 2 | Preferred Brand | $32.00 | $64.00 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$37.80 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$38.60 | $0 | No Gap Coverage | 3 | Tier 3 | $33.00 | $82.50 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$41.20 | $0 | No Gap Coverage | 4 | Injectable | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$42.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $38.00 | $95.00 | None | |
Browse Plan Formulary | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
SilverScript Plus |
$44.60 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$48.30 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$57.80 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $35.00 | $80.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$62.80 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$63.10 | $0 | All Generics | 4 | Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$66.10 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
Medco Medicare Prescription Plan - Access |
$69.00 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Plus |
$70.90 | $0 | All Generics | 4 | Specialty | 30% | n/a | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$71.70 | $0 | All Generics | 3 | Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
SierraRx Basic |
$74.60 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P Q:40 /60Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$75.50 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-054 |
$95.10 | $0 | Many Generics | 3 | Non-Preferred Brand | $70.00 | $175.00 | None | |
Browse Plan Formulary | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
Aetna Medicare Rx Premier |
$104.00 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary |
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